| NPI | 1780996496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 134195) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018175) | |
| 1041C0700X Social Worker, Clinical (Licence: OK 5030) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2026-01-08 |